This abundantly illustrated guide, based on work at the renowned Rancho Los Amigos National Rehabilitation Center, describes and depicts operative techniques for the treatment of the devastating wounds caused by pressure ulcers. Comprehensive information is provided on the surgical anatomy and the variety of wounds that may be encountered. In addition, interventions in patients with complicated ulcers are discussed. Pressure ulcer is a topic of growing importance in the fields of plastic surgery, surgical education, and physical therapy – and also has important psychosocial, medicolegal, and cost management implications. Readers will find Reconstructive Plastic Surgery of Pressure Ulcer to be an ideal aid to appropriate selection of flap surgery in the individual patient. It will help in the achievement of satisfactory outcomes and will especially assist surgeons who lack the requisite specialized training and experience.
Table of Contents
History of Pressure Ulcer Management.- Pathology of Pressure Ulcer.- Clinical Wound Evaluation.- General and Special Investigation.- Patient’s Psycho-Social Evaluation.- Pre-Operative Preparation.- Operative Management.- Ischial Ulcer.- Complex Ischial Ulcer.- Sacral Ulcer.- Trochanter Ulcer.- Multiple Flap Procedure as a Single Stage Surgery.- Complex Pressure Ulcer.- The Heel Ulcer.- The Olecranon (elbow) Ulcer Flap.- Hip Joint Involvement with Pressure Ulcer.- Disarticulation and Total Thigh Flap.- Residual Stump Ulceration.- Knee Joint Ulceration.- Post Operative Flap Management.- Flap Complication.- Rehabilitation Post Flap Surgery.
Dr. Salah Rubayi, MD, FICS, FACS, is Professor of Clinical Surgery in the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Southern California. As a world-renowned physician and surgeon, he has had a positive impact on the lives of many patients treated at the Rancho Los Amigos National Rehabilitation Center. He is Chair of Rancho's Department of Surgery and Chief of the Pressure Ulcer Management and Plastic and Reconstructive Surgery Programs. Originally trained at University of Baghdad Medical College and the Royal College of Surgeons and Physicians in Edinburgh and Glasgow, Dr. Rubayi joined the medical staff at Rancho in 1982. In 2006 he received the Lifetime Achievement Award, which is the highest award conferred by the Rancho Los Amigos Foundation. Dr. Rubayi has published a number of scientific articles and made numerous scientific presentations nationally and internationally. He has served as a co-investigator on several clinical trials related to pressure ulcer management in patients with spinal cord injury. He is a fellow of the American College of Surgeons, International College of Surgeons, American Society for Laser Medicine and Surgery, and the International Medical Society of Paraplegia.